person
John T Jackson, PA-C
Medical Physician Assistant in Newport, Rhode Island
NPI 1295792687

John T Jackson is a Medical Physician Assistant based in Newport, RI and is specialized in Medical. John T Jackson practices in Newport, RI and has the professional credentials of PA-C. The NPI Number for John T Jackson is 1295792687 and holds a License No. PA00132 (Rhode Island).

The current practice location address for John T Jackson is 11 Friendship St, Newport, RI and can be reached out via phone at 401-845-1593 and via fax at 401-847-0650.

Location: 11 Friendship St, Newport, RI, 02840-2271
person
Provider Profile Details
NPI Number
1295792687
Provider Name
John T Jackson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
11 Friendship St, Newport, RI, 02840-2271
Phone Number
401-845-1593
Fax Number
401-847-0650
Provider Enumeration Date
04/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7006480 05 RI
institution
Provider Business Practice Location Address Details
Address
11 Friendship St
City
State
Zip
02840-2271
Phone Number
401-845-1593
Fax Number
401-847-0650
person
Provider Business Mailing Address Details
Address
11 Friendship St
City
State
Zip
02840-2271
Phone Number
401-845-1593
Fax Number
401-847-0650
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00132 (Rhode Island)
Definition
Definition to come...
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